HomeMy WebLinkAboutF2021-0631 - Permitswat� City of Newport Beach -Building Division 'F2021-0631*
100 Civic Center Drive, Newport Beach, CA 92660 _
F sr. Permit Counter Phone (949)644-3288
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Job Address: 2806 LAFAYETTE AVE NB
Inspector Area: r l 1`G
Owner: GILLIAN
Address: 2806 LAFAYETTE AVE
NEWPORT BEACH, CA 92663
Phone:
Applicant: CASEY MONTY
Address: 1101 KINGSTON DR
LA HABRA CA 90631
Phone: 714-476-5370
Code Edit : 2019
Type of Construction:
V-B-SPR
Occupancy Group:
MU
Added /New sq.ft. Bldg:
0
Added /New sq. ft. Garage:
0
No of Stories:
2
No of Units :
0
Flood Zone:
Bldg Sprinklers:
Y
FIRE Permit: F2021-0631
Project No: 2961-2021
Inspection Requests Phone (949)644-3255
Description: MIXED -USE FIRE SPRINKLER UNDERGROUND
Legal Description:
LANCASTERS ADD BLK 425 LOT 4
°
°
Contractor:
FIREPROOF FIRE PROTECTION
Architect:
•
°
Address:
1101 KINGSTON DR
Address:
®•
LA HABRA CA 90631
°
Phone:
714-476-5370
Phone:
State Lic:
•• °••
ee e
Con State Lic:
876004
Engineer:
o � •
e
° • •
• • •
Lic Expire:
04/30/2022
Address:
••° a
Bus Lic:
BT30040107
Lic Exp Date:
07131/2022
Phone:
State Lic:
e
Worker's Compensation
Insurance
Designer:
FIREPROOF FIRE PROTECTION..
Carrier:
SECURITY NATIONAL INS
Address:
1101 KINGSTON DR
; °,
• °
' °
Policy No:
SWC1325710
LA HABRA CA 90631
° • - ° ° °
Expire:
02/15/2022
Phone:
714-476-5370
°°%
•°+°•°
Issued Date: 1212112021
Special Conditions:
Setback- Front:
Rear:
Left:
Right:
FEES
Construction Valuation:
$10,000.00
Building PC Fee :
$222.00
Fire Residential Alarm PC Fee :
$0.00 Records Management :
$6.00
Building Overtime PC Fee:
$0.00
Planning Counter Review :
$0.00
Building Extention Fee :
$0.00
Planning Zoning PC Fee :
$0.00
Building Investigation Fee :
$0.00
$0.00
Fire Plan Check Fee:
$0.00
Public Works PC Fee :
$0.00
$0.00
Fire Permit Fee :
$0.00
Public Works Traffic Plan Check Fee:
$0.00
Building Permit Fee :
$269.00
TOTAL FEE :
$497.00
Plan Check Fee :
$497.00 Fee Due at Permit Issuance :
$0.00
PROCESSED BY:
ZONING APPROVAL:
1
FIRE APPROVAL
-5
OTHER DEPARTMENT:
PLAN CHECKED BY::
APPROVAL TO ISSUE:
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION
OWNER -BUILDER DECLARATION
1 hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable item(s)
(Section 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for
the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and
Professions Code) or that he or she is exempt from licensure and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of
not more than five hundred dollars ($500).
IJ (, as owner of the property, or my employees with wages as their sole compensation, will do U all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044,
Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the
improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or
improved for the purpose of sale).
❑ I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not
apply to an owner of prpperty who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law).
0.1. ; exempt7romlicensure under the Contractors' State License Law for the following reason:
by my slgnaturd p@ISw' acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legal
pOIl.a Structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and
Professions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html.
SlgnalUre of PrpperW*(:wner or Authorized Agent Date
GICE51SED CONTRACTOR'S DECLARATION
jtierglgy affirm WIcLE;p0nalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force
and effect. j
M cense Class . License No Date r t l / i t / t k Contractor Signature / A-1
WORKERS' COMPENSATION DECLARATION
✓DARNING: FAILURE•@ SEOURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000(, IN ADDITION TO TH
t&?r0F•COMPENS4TI0N, eAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
I ITErelfy affirm flftt;T penalty of perjury one of the following declarations:
111 have and will maintain a certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for tl
pDrrformance of the work for which this permit is issued. Policy No.
and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers'
carrier and policy number are:
Policy Number Expiration Date
of Agent
certify that, in the performance of the work forwhich this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and
if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
Signature of Applicantf V ✓—✓ Uate- I W L 1 t r
DECLARATION REGARDING CONSTRUCTION LENDING AGENCY
I hereby affirm under penalty of perjury that there is a construction lending agency forthe performance of the work for which this permit is issued (Section 3097, Civil Code).
Lender's Name Lender's Address
By my signature below, I certify to each of the following:
I am the property owner or authorized to act on the property owners behalf.
I have read this application and the information I have provided is correct.
I agree to comply with all applicable city and county ordinances and state laws relating to building construction.
I authorize representatives of this city or county to a ter the above -identified property for inspection purposes. p p n
Signature of Property Owner or Authorized Agent i Print Property Owner's or Authorized Agent's Name f 1"t'+ �a .- Date it 1•
AC77ON
DATE
BY
DECLARATION OF COMPLIANCE KITH CODE OF
FOR OFFICE USE OIVLY
FEDERAL REGULATIONSPART 61 OF TITLE40AND
AQMD RULE 1403.
PERPXT EXPfRED
❑ ISUBMIiTEDASBESTOS NO7IFICATIONTO:
❑ EPA
❑ AQMD
PERMITCANCELLED
PERMITEXTENOED
❑ ASBESTOS NOTIACA7IONISNOTAPPLICABLETO
PROPOSED DEMOLITION.
PERMIT FINAL
CERTFFICATE OF
SIGNATURE:.
OCCUPANCYI550ED